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<br />CITY OF ZEPHYRHILLS PERMIT APPLICATION <br />BUILDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542 <br />813-780-0020 FAX: 813-780-0021 <br /> <br />DATE RECE lVED <br /> <br />/;;Z.:2/05 <br /> <br />PHONE CONTACT FOR PERMITTING <br /> <br />OWNER' S NAM~Bl:.)C ~ t.J ~ .. Y2uR., ~ E- "\' E <br />'3 <t yO). 4 <br /> <br />PHONE ~\3-~t~K-'lu~~~ <br /> <br />JOB ADDRESS <br /> <br />o ~ Ave... <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 10 # tl a\o CA \ ~~ \D o~ l1\:)\:) Oal , <br />WORK PROPSED: ~ CONSTRUCTION o ADDITION <br /> <br />SUBDIVISION <br /> <br />{OBTAIN FROM PROPERTY TAX NOTICEl <br /> <br />o ALTERATION <br /> <br />o REPAIR <br /> <br />o INSTALL <br /> <br />OSIGN <br />PROPOSED USE~ FAMILY DWELLING <br />o COMMERCIAL <br /> <br />o MOVE <br /> <br />o DEMOLISH <br /> <br />OMULTI - FAMIL Y <br />o INDUSTRIAL <br /> <br />0# OF UNITS <br />o SWIMMING POOL <br /> <br />o MOBILE HOME <br />o OTHER <br /> <br />o <br />DESCRIPTION OF WORK to 8 Lu <br />BUILDING SIZE ala )(~"b. <br /> <br />RESTAURANT & HEALTH DEPARTMENT APPROVAL <br /> <br />b LD E l..A_- \ ~e:" <br /> <br />SQUARE FOOTAGE \~"1 / ?Jd.:;/ j 3>?'.) <br />I I <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />) <br />HEIGHT g' <br /> <br />AMP SERVICE <br /> <br />o <br /> <br /> <br />FORMS. r <br />lfi <br />,~ ~1Jt1L <br /> <br />/ <br /> <br />~UILDING <br />~ELECTRICAL <br /> <br />Jt. PERMITS REQUESTED <br /> <br />:;> - ~J~ J..{y~~ t(t) VALUATION OF <br />a~e <br /> <br />Progress <br /> <br />~UMBING <br />~ECHANICAL $ a19 ~~,~.~ VALUATION OF MECHANCIAL INS <br />o GAS ~OOFING 0 SPECIALTY 0 OTHER <br /> <br />TYPE OF CONSTRUCTION: 0 BLOCK <br /> <br />~ME <br /> <br />o STEEL <br /> <br />o OTHEfu~ ~~ <br />IN FLOO~YES <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVATIONS <br /> <br />IS PROJECT <br /> <br /> <br />BUILDERO<9~~ <br /> <br />SIGNATU~- ~ ~ ~. ~ STATE CERT OR REGIST I <br />****************************************************************** <br /> <br />COMPANY <br /> <br />~ <br />ELECTRICI . ~ ~ :. <br />SIGNATURE ------ ~ <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br /> <br />****************************************************************** <br /> <br /> <br />PLUMBER C:> <br /> <br />COMPANY <br /> <br />SIGNATURE <br /> <br />STATE CERT OR REGIST # <br /> <br />COMPANY <br /> <br />~ <br /> <br />STATE CERT OR REGIST # <br /> <br />- <br /> <br />***************************************************************** <br /> <br />OTHER ~ ~/~LO ..:::")~ '- <br />SIGNATURE <br /> <br />COMPANY <br /> <br />STATE CERT OR REGIST # <br />